10980 SW GARDEN PARK PLACE APT 2 i
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10980 SW GARDEN PARK PLACE
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ADDRESS <: PERMIT NO.�
V
PER�IIT CHARGE none
OU'IER �id�� ,Q �r1� y � _ CONNECTION FEE _ c`� c4- l?
PAID BY _ a�l.r►� a��
TYPE OF BUILOINi' /t.�4 L -� DATE CONNECTED ____-----
SEP'JICE RATE _�3� CX _ INSPECTION FEE
CO ;TRACTOR _ _ PAID BY DATE
SI <<: 0t- CONINECTION ASSESSMEN-i �� PAID
BUILDING DEPARTMENT, TIGARD
PLUMBING PERMIT
, holder of a valid plumbing contractors license is hereby
authorized to cause plt�g work as herein noted to he installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for ins ection. City of Tigard Business License required
for all contractors and sub-con tractors.
Owner. Address OSO` ->CZE VIARVO(Date__ v 2'
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT I (OffiLe Lisa Only)
Single Fami1y--1 bath-each _ 1Fi00
Dupl*x-Each 1 both unit -� 25.00
_AJdiuonal bathrooms--eac1i _---- --- -- -� A 1 ).00
z
Mobile HSme Space--each -� 15.00
INDIVIDUAL FIXTURE FEES__ —Tr�-
1 to 50 Fixtures In 1 building-each 3.00
51 to 100 Fixtures in 1 building--each _ — 2.50__
-101 to 200 Fixtures in 1 building-each 2.00 _ -_�-
_20 or more Fixtures in 1 building-each `_- _- 1.50
MISCELLANF0US
Building Sewer-1st 50 ft. - _ 10.00_
Sewer--each additional 100 ft. _ 10.0_0__' �r
_Water Service to building --_� _ 5,00
Private Water Systems-each 100 ft. _ _- 10.00-
Other S :.if ):
PERMIT r� For Numbing Inspection Phone 639.4171 805 �Y �� 97013 -T
3%State K- Plumbing Contractor 3y CA14 r
TOTAL RECEIPT i:0. Issued By _ 3
O
City of Tigard Mechanicl;i Permit
New Installation Replacs CJ Relocation C] Addition ❑ Alter,etion ❑ 41A State
C0NTRAC;T0R �Lt _LY R�/N� -- OWNdER
to W�RK AD0RESS&Jea4.(Aj._64�'�,
:'HONE _sl L �f7 _ _ APPLICANT—
Heat Input Rating (BTU Per Hour)____:3_,5J 00 _ Vent Size �-.�- Flue Size
FUEL. OIL LJ GAS ❑ ELECT x OTHER
ITEM NO. FEE ITEM NO, FEE
For Iss jance of Parm;t 3.00 Air Condition Compressor 15 to 30 HP _ 10.00
MLw . Under 100,000 BTU ` 4.00 _Air Handling 10,000 CFM 3.00 ,4r
iVew- 100,00 BTU &over 5.00 _ Air Handling Over 10,000 CFM 0p
Floor F,ffrrace 4.00 Evaporative Cooler 3.OU I
Wall • Floor•Suspended _ 4.00_ Range Vent Fan � 2,00 +
Install Vents Only - 2.00 Vent System _ Y ^_3.00
Repair - heat& Cooling � 4.00 Hood Commercial __ _ _ � i 3,00
Air Condition Compressor Under 3 HP 4.00 Commercial Duct System - v x10.00
Ai; Condition Compresor 3 to 15 HP
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
APPROVED BY DATE_ ISSUED BY.— DATE _
,RECEIPT NO.
"" Signature of Applicant _��_
BUILDING PERMIT APPLICATION 1OF
1T TIGARD DATE 1-0/ 3/
THE UNDESIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE— --.. .—..
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE ---_—__�- ._.
t p 9Uf �a�rrLKXM+ (�t�i PI. LOT NO. _ ----
OWNER i . r'de i.. Oa,r* JOB ADDRESS10960 HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER Nd Mi 11 P.� ADDRESS/ � DESIGNER
STRUCTURE []NEW _ ClLJ RLMODEL ❑ADDITION—_ C3 REPAIR ❑RENEWAL OF-IRE DAMAGE ❑DEMOLITION
❑ RESIDENCE [JCOMM ❑EDUCATIONAL 000V'T ❑RELIGIOUS OPATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB OFENCE
❑BOND El MOVING ❑CONDITIONAL USE --_ -_ ODESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY�"I—LAND USE. ZONE__—BLDG.TYPE ''�' _ FIRE ZONE 1 PLAN CHECK BY L TU) HEA?_,'
Jrmtruct clue..ox lr sttsa.;hsd gt&pa Y 1 . 4 (,edrounts - 4 batthrooMs. -----�__
Tipfi IT"
Otun1;e3.T16 Normit il's aired for HCtlass 36Wsr) --- -
r�iwor : rinit fi17467 - ItSKAO_
QCC,-I<Q9.Q - - --FI QQR�4J9�__ D---1��LtitiL.—?p NQ.STORIES AREA 19 fl NO•BEDROQIY$b—.1�AL�1��� ��}I. . I.i'r.
BUII DING DEPARTMENT _ SET BACKS FRONT 20 REAR LEFT SIDE l I RIGHT SiDd-
Permlt $197.U0
— THIS PERMIT IS ISSUED SUI0FCT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check ! 960-10 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
— WORK WILL RF DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WilH
Sub-total 295,�X ALL APPLICATILE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND STIR CONTRACTORS TO HAVE CURRENT CITY RIISINFSS
Slate Ta>4 70003 { C%NSF. SEPARAWPJRMtTS jt I�RED FOR SEWER PLUMRING AND HE'TING.
Total 1303.36 pric yf1 ��* �120.10101
BV P1 _ ------------ --
_._ 117
APPLICANT JR AC7f N t
Ariprovecl . Wal.dsn Receipt No
I
1 '
4DATEINSP, TYPE INSPECTION R'6MARKS PLUMBING - DATE
Contractor
Permit No. 16-7 y,� f-Yr1Q
Rough-in 7
Fixtwe
Final
HEATING !
fGas
Contractor70,
,71
rmit No.or Oil
- Rough-in
Final _
SEWER
--- - Final
— —
I ---�- DRIVEWAY
—
Final
_ Stom Drainage
(Rain Drain)Final -
- Sidewalk
'- Curb&Street Final
_ ----— Approach --
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCLIPA Final
CERTIFICATE OCCUPANCY j/ J -77
�J b Landscaping
6k
Zoning Final